Koj lub qhov muag puas muaj ntshav ntws tsawg? Cia peb kawm txog qhov '(Ocular Ischemic Syndrome)' no!

Koj puas tau poob koj lub qhov muag tam sim ntawd, lossis koj puas tau ntsib qhov mob txawv txawv, tsis paub piav qhia lossis hnyav rau ib lossis ob lub qhov muag? Lossis koj lub qhov muag puas tig xiav thaum koj mus sab nraud? Qee zaum peb xav tias cov no tsuas yog mob qhov muag xwb, tab sis tej zaum yuav muaj qee yam loj dua tom qab nws. Qhov ntawd yog Ocular Ischemic Syndrome. Txawm hais tias lub npe yuav zoo li ntshai me ntsis, cia peb tham txog nws yooj yim.

Qhov no yog dab tsi (Ocular Ischemic Syndrome)?

Hais yooj yim xwb, Ocular Ischemic Syndrome yog ib qho mob qhov muag uas tsis tshua muaj uas tshwm sim thaum peb lub qhov muag tsis tau txais ntshav txaus. Qhov no feem ntau yog tshwm sim los ntawm cov rog (tseem hu ua plaques) hauv cov hlab ntsha loj hauv peb lub caj dab hu ua Carotid Artery. Cov hlab ntsha no kuj muab ntshav rau peb lub qhov muag. Yog li, thaum cov hlab ntsha no raug thaiv, cov ntshav mus rau lub qhov muag yuav txo qis. Qhov no tuaj yeem ua rau muaj teeb meem pom kev thiab mob qhov muag.

Hauv lwm lo lus, lub ntsiab lus ntawm lub npe no, lo lus rau lo lus, yog raws li nram no:

• "Ocular" txhais tau hais tias "hais txog lub qhov muag."
• "Ischemic" los yog "Ischemia" yog ib qho mob uas cov ntshav ntws tsawg dua vim yog "atherosclerosis" (cov hlab ntsha nyias lossis tawv). Qhov mob no yog qhov ua rau muaj "Carotid Artery Disease" (Carotid Artery Disease).
• "Syndrome" yog hais txog ib qho mob uas muaj ntau yam tsos mob tshwm sim ua ke.

Yog li, tag nrho cov no muab tso ua ke, qhov no yog cov tsos mob uas tshwm sim los ntawm kev txo cov ntshav ntws mus rau lub qhov muag. Qhov mob no, tshwj xeeb, tuaj yeem yog lub cim qhia ntxov ntawm '(Carotid Artery Disease)'. Qhov mob no hu ua '(Carotid Artery Disease)' ua rau muaj kev pheej hmoo ntawm kev mob stroke thiab mob plawv nres . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov ua rau muaj '(Ocular Ischemic Syndrome)'?

Zoo li kuv tau hais ua ntej lawm, qhov ua rau qhov no yog "(Carotid Artery Disease)" (Carotid Artery Disease) . Qhov no kuj hu ua "(Carotid Artery Stenosis)". "(Stenosis)" txhais tau tias txoj hlab ntsha nqaim lossis thaiv. Ob txoj hlab ntsha no hu ua "(Carotid Arteries)" ntawm ob sab ntawm koj lub caj dab nqa cov ntshav uas muaj oxygen mus rau koj lub taub hau, caj dab, lub hlwb, thiab qhov muag. Yog li thaum "(Plaque)" uas yog ib yam roj, pib tsim ua ke hauv cov hlab ntsha no (qhov no kuj hu ua "(Atheroma)"), cov ntshav ntws yuav raug thaiv.

Cov hlab ntsha hu ua '(Ophthalmic Arteries)' uas muab ntshav rau peb lub qhov muag pib los ntawm cov '(Carotid Arteries)' no. Yog li, ib tus neeg uas muaj '(Carotid Artery Disease)' tsis tau txais ntshav txaus rau lawv lub qhov muag. Qhov tsis muaj ntshav yog lub hauv paus rau '(Ocular Ischemic Syndrome)'.

Ntxiv rau qhov laj thawj tseem ceeb no, muaj lwm yam laj thawj uas pom tsis tshua muaj:

• `(Kev Phais Carotid Artery)` (ib qho mob zoo ib yam li kev phais carotid artery)
• Kab mob vasculitis (mob o ntawm cov hlab ntsha). Piv txwv li suav nrog Takayasu's Arteritis, Giant Cell Arteritis (GCA), thiab Behcet's Disease.
• `(Kev puas tsuaj ntawm cov hlab ntsha hauv lub cev)`
• `(Scleroderma)`
• `(Kab Mob Moyamoya)`

Leej twg muaj kev pheej hmoo tshaj plaws?

Ocular Ischemic Syndrome yog ib qho mob tsis tshua muaj , cuam tshuam txog li 8 tus neeg ib lab.

Feem ntau tus mob no cuam tshuam rau cov neeg hnub nyoog ntawm 50 thiab 80 xyoo. Cov txiv neej muaj feem yuav mob li ob npaug ntau dua li cov poj niam .

Muaj ntau yam uas ua rau muaj kev pheej hmoo no:

• `(Kab Mob Plawv)` (Kab mob ntawm lub plawv thiab cov hlab ntsha, uas yog, cov kab mob ntsig txog lub plawv thiab cov hlab ntsha)
• Kab Mob Hlwb Hauv Lub Plawv (CAD)
• Kab mob ntshav qab zib
• Ntshav siab (Tshuaj ntshav siab)
• Rog dhau heev, haus luam yeeb, lossis ob qho tib si.
• `(Kab Mob Moyamoya)` (Qhov no kuj yog ib qho kab mob ntsig txog cov hlab ntsha uas muab ntshav mus rau lub hlwb)
• Yog tias koj tau muaj mob stroke lossis transient ischemic attack (TIA) (zoo li mini-stroke).

Cov tsos mob ntawm Ocular Ischemic Syndrome yog dab tsi?

Cov tsos mob ntawm tus mob no tsis tas li tshwm sim. Tab sis thaum cov tsos mob tshwm sim, lawv feem ntau tsuas cuam tshuam rau ib lub qhov muag xwb . Tus mob no feem ntau cuam tshuam rau koj qhov muag pom kev. Nrhiav cov tsos mob no yog tias koj muaj:

• Ib qho mob uas mob heev, tawm hauv lub qhov muag thiab qee zaum tuaj thiab ploj mus.
• Mob qhov muag thaum lub siab ntawm qhov muag nce siab.
• Cov menyuam qhov muag qhib (lub voj voog dub hauv nruab nrab ntawm lub qhov muag).
• Zoo li muaj cov xim dub lossis cov xov uas ntab rau ntawm qhov muag (Cov Qhov Muag Ntswg).
• Maj mam li pom kev tsis meej los yog tam sim ntawd (Tsis pom kev zoo) los yog pom kev tsis meej ib ntus thiab tom qab ntawd rov qab pom kev dua (Poob Kev Pom Kev Ib Ntus).
• Nyuaj siab saib lub teeb, pom kev tsis meej (Photophobia).
• Zoo li koj pom ob yam (Diplopia).

Cov kws kho mob yuav paub qhov no li cas tiag?

Cov tsos mob ntawm Ocular Ischemic Syndrome zoo ib yam li lwm yam mob xws li diabetic retinopathy thiab Central Retinal Vein Occlusion (CRVO). Yog li ntawd, nws yog ib qho tseem ceeb kom tau txais kev kuaj mob kom raug .

Cov kws kho qhov muag ua cov kev kuaj mob hauv qab no los kuaj mob no:

• Kev kuaj qhov muagMuaj ntau yam kev kuaj qhov muag los nrhiav qhov ua rau muaj teeb meem pom kev. Piv txwv li, kev kuaj qhov muag kom dav, kev kuaj optical coherence tomography (OCT), kev kuaj electroretinography (kev kuaj uas ntsuas qhov ua haujlwm ntawm retina), thiab visual-evoked potentials (kev kuaj uas ntsuas qhov ua haujlwm ntawm lub paj hlwb ntsig txog kev pom kev).
• Fluorescein Angiogram : Qhov no yog ib qho kev kuaj uas ib qho xim tshwj xeeb raug txhaj rau hauv cov leeg ntawm caj npab los xyuas seb nws siv sijhawm ntev npaum li cas rau cov ntshav ntws mus rau hauv cov hlab ntsha hauv lub qhov muag thiab seb cov ntshav puas tawm ntawm cov hlab ntsha.

Ntxiv mus, tus kws kho mob plawv (tus kws kho mob uas tshwj xeeb hauv kab mob plawv thiab cov hlab ntsha) tuaj yeem xaj cov kev kuaj mob xws li cov no los kuaj xyuas kab mob carotid artery:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Kev luam theej duab ntawm cov hlab ntsha hauv caj dab)
• `(CT Angiogram - CTA)`, `(Carotid Angiogram)` lossis `(Magnetic Resonance Angiogram - MRA)` (cov no kuj yog cov hom kev luam theej tshwj xeeb uas saib xyuas cov hlab ntsha hauv caj dab).

Cov kev kho mob rau qhov no yog dab tsi?

Muaj ntau kauj ruam sib txuas lus uas koom nrog hauv kev kho mob Ocular Ischemic Syndrome. Qhov no xav tau kev koom tes ntawm ntau tus kws tshwj xeeb.

Kev kho mob rau cov teeb meem qhov muag:

• Hom kev txhaj tshuaj rau qhov muag: Cov tshuaj Anti-VEGF lossis cov tshuaj steroids. Cov no pab txo qhov o ntawm lub retina.
• Cov Tshuaj Qhwv Qhov Muag: Txo qhov siab hauv qhov muag thiab o.
• Tej zaum yuav tsim nyog yuav tsum tau kho qhov muag nrog laser kom tiv thaiv kom tsis txhob muaj qhov muag siab.

Kev Kho Mob Rau '(Kab Mob Carotid Artery)':

• Cov tshuaj ua kom cov ntshav nyias, nrog rau cov tshuaj los tswj cov mob xws li ntshav qab zib thiab ntshav siab.
• Carotid Angioplasty thiab Stenting: Ib txoj kev kho mob uas cov hlab ntsha uas raug thaiv raug nthuav nrog lub cuab yeej zoo li lub npas thiab ib lub stent (ib lub raj me me zoo li daim ntaub mesh) raug ntxig rau kom tiv thaiv nws kom tsis txhob raug thaiv dua.
• Carotid Endarterectomy: Ib qho kev phais mob kom tshem tawm cov plaque uas tau tsim hauv cov hlab ntsha.

Qhov no ua rau muaj teeb meem dab tsi?

Tsis yog txhua tus neeg uas muaj Ocular Ischemic Syndrome yuav muaj teeb meem pom kev loj heev tam sim ntawd. Txawm li cas los xij, kwv yees li ib nrab ntawm cov neeg uas muaj tus mob no yuav muaj qee qhov kev poob qhov muag hauv ib xyoos . Tsis tas li ntawd, kwv yees li xya ntawm kaum tus neeg yuav muaj tus mob hu ua Neovascular Glaucoma. Hauv Neovascular Glaucoma, cov hlab ntsha tshiab, tsis zoo li qub tsim nyob rau hauv lub qhov muag, thaiv cov dej ntws hauv lub qhov muag. Qhov no tuaj yeem ua rau lub qhov muag siab heev.

Tus neeg uas muaj Ocular Ischemic Syndrome no muaj mob zoo li cas?

Qhov tseeb, tus mob hu ua '(Carotid Artery Disease)' uas ua rau '(Ocular Ischemic Syndrome)' tuaj yeem ua rau tuag taus . Tom qab kuaj pom tias muaj '(Ocular Ischemic Syndrome)', tsis pub dhau tsib xyoosYuav luag plaub ntawm kaum tus neeg tuag vim yog mob plawv nres lossis mob hlwb. Yog li ntawd, nrhiav kev kho mob thaum ntxov thiab hloov pauv koj txoj kev ua neej yuav pab tau koj txoj kev noj qab haus huv.

Tseem Ceeb: Kuv tsis tau sim ua kom koj ntshai nrog qhov no. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum nkag siab txog qhov teeb meem loj npaum li cas thiab ua cov kauj ruam tsim nyog.

Puas tiv thaiv tau qhov mob Ocular Ischemic Syndrome?

Yog, muaj tej yam uas koj ua tau los txo koj txoj kev pheej hmoo ntawm kev mob '(Carotid Artery Disease)' thiab los ntawm nws, '(Ocular Ischemic Syndrome).' Cov no yog:

• Noj cov zaub mov zoo rau lub plawv, xws li Mediterranean Diet.
• Nrhiav txoj kev noj qab haus huv los tswj kev ntxhov siab.
• Tswj ntshav qab zib thiab ntshav siab kom zoo.
• Tswj koj qhov hnyav kom noj qab nyob zoo thiab haum rau koj.
• Yog koj haus luam yeeb, thov kev pab kom tso tseg.
• Ua kom koj lub cev nquag thiab tawm dag zog ntau li ntau tau.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob kom sai li sai tau:

• Mob qhov muag.
• Txhua qhov kev hloov pauv ntawm qhov muag pom kev yog ib qho teeb meem.

Tsis tas li ntawd xwb, yog tias koj muaj cov tsos mob ntawm kev tuag tes tuag taw (piv txwv li hais lus tsis tau zoo, loog ntawm ib sab ntawm lub cev, ib sab ntawm lub ntsej muag poob qis), mus rau tsev kho mob tam sim ntawd lossis hu rau 1990.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug xws li:

• Vim li cas kuv thiaj muaj cov tsos mob no?
• Kuv yuav tsum tau ua cov kev ntsuam xyuas twg?
• Kev kho mob twg zoo tshaj plaws rau kuv?
• Kuv yuav tsum ua li cas thiaj txhim kho kuv lub plawv kom noj qab haus huv?
• Kuv ua tau dab tsi los tiv thaiv kuv qhov muag?
• Kuv puas yuav tsum txhawj xeeb txog cov teeb meem?

Txhua yam mob uas cuam tshuam rau lub qhov muag yog qhov txhawj xeeb tiag tiag. Yog tias koj muaj Ocular Ischemic Syndrome, kev hloov pauv ntawm qhov muag yuav yog thawj qhov cim qhia tias koj cov hlab ntsha raug thaiv thiab cov ntshav ntws mus rau koj lub taub hau raug txo qis. Qhov no kuj tseem tuaj yeem yog ib qho cim ntawm lwm yam mob, xws li Carotid Artery Disease. Lwm yam mob qhov muag kuj tuaj yeem ua rau muaj cov tsos mob no.

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho qhov muag uas muaj kev paub txog kev kuaj mob thiab kho cov kab mob qhov muag uas tsis tshua muaj . Tej zaum koj kuj yuav tsum mus ntsib kws kho mob plawv kom kho "Carotid Artery Disease". Kev kho mob no ua haujlwm los ntawm kev qhib cov hlab ntsha uas raug thaiv thiab txhim kho cov ntshav ntws mus rau qhov muag. Koj tuaj yeem hloov pauv koj txoj kev ua neej kom tiv thaiv koj lub plawv thiab qhov muag pom kev.

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

• Kab mob Ocular Ischemic Syndrome yog ib yam mob uas tshwm sim los ntawm kev ntshav tsis txaus mus rau lub qhov muag, qhov ua rau mob yog kev thaiv cov hlab ntsha hauv caj dab (Carotid Arteries).
• Yog koj muaj cov tsos mob xws li pom kev tsis meej lossis mob qhov muag, nco ntsoov nrhiav kev pab kho mob.
• Qhov no yuav yog ib qho cim qhia txog "Carotid Artery Disease", uas ua rau muaj kev pheej hmoo ntawm kev mob plawv thiab mob hlwb .
• Yog tias kuaj pom thaum ntxov, kho kom zoo, thiab hloov pauv txoj kev ua neej, kev noj qab haus huv yuav raug khaws cia.
• Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb, noj zaub mov zoo, tawm dag zog, thiab tswj ntshav qab zib thiab ntshav siab.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig los tham nrog koj tus kws kho mob. Xav kom koj zoo sai sai!

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